The Importance Of Zygomatic And Pterygomaxillary Implants In Prosthodontic Treatment
Lecture Presented At:
AMERICAN COLLEGE OF PROSTHODONTICS MEETING IN BALTIMORE
November 2-4, 2012
AMERICAN ACADEMY OF FIXED PROSTHODONTICS Meeting Chicago
February 23, 2013
Dr. Balshi was invited to present the Pi research and evidenced based treatment protocols related to this implant method to the ACP and the AAFP as noted above.
Objectives of Presentation
- Define zygomatic and pterygomaxillary implants?
- Why use these locations for implants?
- Do they work? Evidence-based prosthodontics
Patient Case Study
Research Articles:
Balshi TJ, Lee HY, Hernandez RE. The use of pterygomaxillary implants in the partially edentulous patient: a preliminary report. Int J Oral Maxillofac Implants 1995;10:89-98.
Balshi TJ, Wolfinger GJ, Balshi II SF. Analysis of 356 pterygomaxillary implants in edentulous arches for fixed prosthesis anchorage. Int J Oral Maxillofac Implants 1999;14:398-406.
Balshi SF, Wolfinger GJ, Balshi TJ. Analysis of 164 titanium oxide-surface implants in completely edentulous arches for fixed prosthesis support using the pterygomaxillary region. Int J Oral Maxillofac Implants 2005;20:946-952.
Balshi TJ, Wolfinger GJ, Shuscavage NJ, Balshi SF. Zygoma bone-to-implant contact in 77 patients with partially or completely edentulous maxillas. J Oral Maxillofac Surg 2012; 70(9):2065-2069.
Balshi SF, Wolfinger GJ, Balshi TJ. A retrospective analysis of 110 zygomatic implants in a single-stage immediate loading protocol. Int J Oral Maxillafac Implants 2009;24:335-341.
Conclusion
The No BoneZ Solution™ protocol, using pterygomaxillary and zygomatic implants, is the pinnacle of implant prosthodontic revision treatment
Research Articles
Balshi TJ, Lee HY, Hernandez RE. Int J Oral Maxillofac Implants 1995;10:89-98.
September 1985 to December 1993
- Traditional 2-stage protocol
- All partially edentulous
- 7 implant failures
- 86.5% CSR
Balshi TJ, Wolfinger GJ, Balshi II SF. Analysis of 356 pterygomaxillary implants in edentulous arches for fixed prosthesis anchorage. Int J Oral Maxillofac Implants 1999;14:398-406.
September 1985 to April 1998
- 189 fully edentulous patients
- 356 machine-surface Brånemark System implants
- Traditional 2-stage protocol
- 42 implant failures
- 88.2% CSR
|
TIME of STUDY CSR
|
|
|
1985-1993
|
86.5%
|
|
1985-1998
|
88.2%
|
Balshi SF, Wolfinger GJ, Balshi TJ. Analysis of 164 titanium oxide-surface implants in completely edentulous arches for fixed prosthesis support using the pterygomaxillary region. Int J Oral Maxillofac Implants 2005;20:946-952.
December 1999 to March 2004
- 82 fully edentulous arches ๏ 164 TiUnite surface
- 80 were immediately loaded; 84 traditional 2-stage protocol
- 6 implant failures: 3 immediately loaded, 3 submerged
- 96.3% CSR 96.3% immediately loaded, 96.4% submerged
|
TIME of STUDY CSR
|
|
|
1985-1993
|
86.5%
|
|
1985-1998
|
88.2%
|
|
1999-2004
|
96.3%
|
